Provider Demographics
NPI:1629273511
Name:SHANNON, MARGARET (LMHC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SHANNON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 QUEEN ANNE AVE N # 704
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2312
Mailing Address - Country:US
Mailing Address - Phone:206-728-2214
Mailing Address - Fax:
Practice Address - Street 1:2220 QUEEN ANNE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2312
Practice Address - Country:US
Practice Address - Phone:206-728-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health